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加拿大北极地区的“健康食品北方”项目改善了育龄因纽特和因努伊特妇女的饮食状况。

Healthy Foods North improves diet among Inuit and Inuvialuit women of childbearing age in Arctic Canada.

作者信息

Bains A, Pakseresht M, Roache C, Beck L, Sheehy T, Gittelsohn J, Corriveau A, Sharma S

机构信息

Aboriginal and Global Health Research Group, Department of Medicine, University of Alberta, Edmonton, AB, Canada.

出版信息

J Hum Nutr Diet. 2014 Apr;27 Suppl 2:175-85. doi: 10.1111/jhn.12134. Epub 2013 Jun 28.

Abstract

BACKGROUND

Healthy Foods North (HFN) is a community-based intervention designed to promote a healthy diet and lifestyle of Inuit and Inuvialuit populations in Arctic Canada. The objective of the present study was to determine the effects of HFN on the nutrient intake of women of childbearing age.

METHODS

Six communities in Nunavut (n = 3) and the Northwest Territories (n = 3) were selected for programme implementation; four received a 12-month intervention and two served as controls. Quantitative food frequency questionnaires were used to assess dietary intake at baseline and 1 year post-intervention. Among women participants aged 19-44 years (n = 136), 79 were exposed to the intervention and 57 were not. Mean daily energy and nutrient intake and density were determined. Dietary adequacy was assessed by comparing the women's daily nutrient intakes with dietary reference intakes (DRI).

RESULTS

Main outcomes were the pre- to post-intervention changes between intervention and control groups for energy and selected nutrient intakes, nutrient density and dietary adequacy. Among the participants, the intervention had a beneficial effect on vitamin A and D intake. The percentage of individuals with nutrient intakes below the DRI increased from pre- to post-intervention for vitamin A and D in the control group but only for vitamin A in the intervention group. The programme did not have a significant impact on calorie, sugar, or fat consumption.

CONCLUSIONS

The HFN programme is effective in mitigating some of the negative impacts of the nutrition transition on dietary adequacy among Inuit and Inuvialuit women of childbearing age.

摘要

背景

“北方健康食品”(HFN)是一项基于社区的干预措施,旨在促进加拿大北极地区因纽特人和因努伊特人的健康饮食及生活方式。本研究的目的是确定HFN对育龄妇女营养摄入的影响。

方法

在努纳武特地区(n = 3)和西北地区(n = 3)选择了六个社区实施该项目;四个社区接受为期12个月的干预,两个社区作为对照。采用定量食物频率问卷评估基线时和干预后1年的饮食摄入量。在19 - 44岁的女性参与者(n = 136)中,79人接受了干预,57人未接受干预。确定了平均每日能量、营养摄入量及密度。通过将女性的每日营养摄入量与膳食参考摄入量(DRI)进行比较来评估膳食充足性。

结果

主要结果是干预组和对照组在干预前后能量及选定营养素摄入量、营养素密度和膳食充足性方面的变化。在参与者中,干预对维生素A和D的摄入有有益影响。对照组中维生素A和D摄入量低于DRI的个体百分比在干预前后有所增加,而干预组仅维生素A出现这种情况。该项目对卡路里、糖或脂肪的消耗没有显著影响。

结论

HFN项目有效地减轻了营养转型对育龄因纽特人和因努伊特妇女膳食充足性的一些负面影响。

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